ELO-MAR-84

Code
ELO-MAR-84
Mercy ID
V-02146-01
Encounter Date
01/10/2006
Last
Elorza
First
Marina araceli
DOB
08/01/1984
County
Gwinnett
Street
425 Hunter Club Lane
City
Norcross
State
GA
Zip
30093-
Home
(770) 676-9317
Cell
(404) 391-9850
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Rodriguez
First
Miguel a
DOB
05/17/1979
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
YES
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Angel Rodrigo Elorza 08/11/2002 Mother w/Stepfather GA/USA
Bruce Rodriguez 11/11/2006 Parents GA/USA
Gerardo Usiel Elorza 08/07/2003 Mother w/Stepfather GA/USA
Siony Rodriguez Elorza 02/10/2005 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By